ALEGENT HEALTH IMMANUEL FONTENELLE HOME
The information listed below provides an in-depth look into the type and quality of care offered at Alegent Health Immanuel Fontenelle Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
ALEGENT HEALTH IMMANUEL FONTENELLE HOME
6901 NORTH 72ND STREET
OMAHA, NE 68122
(402) 572-2595
6901 NORTH 72ND STREET
OMAHA, NE 68122
(402) 572-2595
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
80%Number of Residents and Certified Beds
- Residents: 132
- Certified Beds: 165
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Alegent Health Immanuel Fontenelle Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 0.9% |
| ADL Index Range: 2-10 | 1.5% |
| Total Percent: | 2.4% |
High Rehabilitation Plus Extensive Services
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 0.8% |
| ADL Index Range: 2-10 | 2.8% |
| Total Percent: | 3.6% |
Medium Rehabilitation Plus Extensive Services
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 0.3% |
| Total Percent: | 0.3% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 3.4% |
| ADL Index Range: 6-10 | 5.2% |
| ADL Index Range: 0-5 | 5.9% |
| Total Percent: | 14.5% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.8% |
| ADL Index Range: 6-10 | 33.5% |
| ADL Index Range: 0-5 | 14.1% |
| Total Percent: | 51.4% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 4.9% |
| ADL Index Range: 6-10 | 10.6% |
| ADL Index Range: 0-5 | 2.5% |
| Total Percent: | 18.0% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 3.5% |
| ADL Index Range: 6-10 | 2.8% |
| ADL Index Range: 0-5 | 2.8% |
| Total Percent: | 9.2% |
Low Rehabilitation
Rehabilitation 45 Minutes Per Week Minimum
- Three days any combination of three rehabilitation disciplines
- Two services of restorative nursing six days per week
| ADL Index Range: 0-10 | 0.2% |
| Total Percent: | 0.2% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-5 - Signs of depression | 0.4% |
| Total Percent: | 0.4% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 0.05% |
| Total Percent: | 0.05% |
Rating Details For Alegent Health Immanuel Fontenelle Home
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 2 Hours and 2 Minutes | 1 Hour and 15 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 26 Minutes | 45 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 11 Minutes | 2 Hours and 34 Minutes |
| Total Licensed Nurse Hours | 3 Hours and 27 Minutes | 2 Hours |
| Total Nurse Hours | 6 Hours and 39 Minutes | 4 Hours and 34 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Nebraska are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Nebraska Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 7% | 14% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 10% | 7% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 22% | 19% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 7% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 16% | 47% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 6% | 8% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 13% | 8% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 6% | 12% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 21% | 23% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 9% |
| Percent of Short-Stay Residents Who Have Delirium | - | 4% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/24/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
|  |  |
Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| | |
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| | |
Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Alegent Health Immanuel Fontenelle Home, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Alegent Health Immanuel Fontenelle Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/13/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Building Service Equipment
An Externally Vented Heating System.
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Properly Protected Cooking Facilities.
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Restrictions on the Use of Portable Space Heaters.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Rooms That Can Be Unlocked from Inside Without a Key.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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Properly Maintained Smoke Detectors.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Exits That Are Free from Obstructions and Can Be Used at All Times.
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Restrictions on the Use of Highly Flammable Materials.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Proper Backup Exit Lighting.
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Properly Located and Lighted "Exit" Signs.
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Interior Finish
Fire-Resistant Room Wall Surfaces.
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Fire-Resistant Room Wall Surfaces.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Source: Medicare Nursing Home Compare; Health and Human Services of Nebraska - Regulation and Licensure Credentialing Division - Retrieved 2011
